Tracy Jo Johnson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0001221 Issued in CO

Practice address

10535 Park Meadows Blvd Ste 102
Lone Tree, CO 80124-8456

Phone

(303) 695-6106

Fax

(303) 695-1211

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

52.96 of 100Reported as group

Quality

0

Improvement activities

40

Cost

69.48

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Urology, PLLC

  • Urology Physician
  • Lone Tree, CO
  • NPI 1962501551
  Medicare reassignment NPD
• Colorado Voice Clinic, P.C.

  • Otolaryngology Physician
  • Denver, CO
  • NPI 1083836423
  Medicare reassignment
• Metro Denver Pain Management PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Englewood, CO
  • NPI 1528365863
  Medicare reassignment
• Advanced Urology, PLLC

  • Urology Physician
  • Greenwood Village, CO
  • NPI 1154903904
  NPD
• Dry Creek Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Highlands Ranch, CO
  • NPI 1770075467
  NPD
• Portercare Adventist Health System

  • Obstetrics & Gynecology Physician
  • Castle Rock, CO
  • NPI 1578384038
  NPD
• Portercare Adventist Health System

  • Urology Physician
  • Lakewood, CO
  • NPI 1942165626
  NPD
• Rocky Mountain Cancer Centers, LLP

  • Surgical Oncology Physician
  • Lone Tree, CO
  • NPI 1467305359
  NPD (past)
• Surgone, PC

  • Surgery Physician
  • Greenwood Village, CO
  • NPI 1841747128
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1184709347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CROSSROADS DR STE 306",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175437",
            "telephone_number": "443-231-1681",
            "fax_number": "443-471-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10535 PARK MEADOWS BLVD STE 102",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801248456",
            "telephone_number": "303-695-6106",
            "fax_number": "303-695-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TRACY",
        "middle_name": "JO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0001221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine L Johns, L.AC.
• Kenneth Satoshi Johnson, DO
• Laurie E Johnson, WHNP - BC
• Lorena Johnson, PA
• Rebecca Clark Johnson, MD
• Andrew Johnston, DC
• Jon F Seeman DC PLLC
• Christine M Jones, D.O.
• David Alan Jones, MD
• Jeanice Estelle Jones, D.D.S.

• Physician Assistant in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.